FDA Adverse Event Summary report: N

MCLAREN PROTON THERAPY SYSTEM

MDR report key: 11019052 · Received December 15, 2020

Report

Report Number
MW5098391
Date Received
December 15, 2020
Report Date
December 11, 2020
Manufacturer
MCLAREN HEALTH CARE
Product Code
LHN
Report Source
Voluntary report
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

THE MCLAREN PROTON THERAPY SYSTEM MALFUNCTIONED AND ROTATED FAST AROUND THE PATIENT WHEN THE PATIENT WAS LYING ON THE COUCH FOR TREATMENT AND COLLIDED WITH THE DELIVERY NOZZLE. FDA SAFETY REPORT ID# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1474924 MCLAREN PROTON THERAPY SYSTEM SYSTEM, RADIATION THERAPY, CHARGED-PARTICLE, MEDICAL LHN MCLAREN HEALTH CARE

Patients

Seq Age Sex Outcome Treatment
1